Medical Coding Services That Keep Claims Clean and Payable
Alpha RCM Solutions turns your clinical documentation into accurate ICD-10-CM, CPT and HCPCS codes, so claims go out right the first time and are paid the way the payer expects.
- ICD-10-CM, CPT and HCPCS Level II coding
- Codes that follow the documentation and payer rules
- Audits and documentation reviews to catch errors early
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What Medical Coding Actually Does
Coding translates what happened during a visit into the standard codes payers use to process claims. Errors here are one of the most common causes of denials and underpayments, so accuracy matters at every step.
ICD-10-CM codes describe the diagnosis. They tell the payer why the patient was seen.
CPT and HCPCS codes describe what was done: the visit, procedure, test or supply.
Modifiers and E/M levels show the full picture and support the payment the claim asks for.
Our Medical Coding Services
Coding support for every care setting, plus the audits that keep it accurate.
Professional Fee Coding
Provider services coded accurately so physicians are paid correctly for the work they do.
Outpatient & E/M Coding
Office and outpatient visits coded to current evaluation and management documentation guidelines.
Inpatient Coding
Hospital stays coded from the full record, including diagnoses, procedures and services.
Facility Coding
Facility services and supplies coded with HCPCS and CPT so the facility claim is complete.
HCC & Risk Adjustment
Hierarchical condition category coding that captures documented conditions for risk adjustment.
Payer-Specific Coding
Coding that follows each payer’s own rules, edits and guidelines, not just the general ones.
Code Audits
Chart reviews that check codes against the record and flag upcoding, undercoding and errors.
Documentation Review
Gaps in provider documentation found and fixed, so the record supports every code billed.
Coding Consultancy
Practical guidance for providers and staff on coding rules, changes and best practice.
How Our Coding Process Works
A clear path from the clinical record to a claim-ready code set.
1Intake & scope
We agree on your specialties, record format, payers, volume and how records will reach us.
2Record review
Coders read the full documentation: notes, orders, reports and results, not just the superbill.
3Code assignment
Diagnosis and procedure codes are assigned from the documentation. Software suggestions are a starting point, and a coder makes the final call.
4Quality review
Codes are checked against coding guidelines and payer edits before the charges move on.
5Queries & handoff
When documentation is unclear, we query the provider. Coded charges then go straight to claim submission.
6Feedback & reporting
Error trends and documentation tips are shared with your team, so accuracy improves over time.
Turnaround depends on volume and specialty. We agree on expectations with you at onboarding.
What We’ll Need From You
- Encounter notes and patient charts
- Superbills or charge sheets
- Operative and procedure reports
- Lab, imaging and other supporting results
- A list of providers, specialties and payers
- Secure access to your records or EHR
Coding Errors We Catch
Small coding mistakes lead to denials, underpayments and audit risk. These are the usual ones:
- Unspecified diagnosis codes where more detail is documented
- E/M levels that are too high or too low for the documentation
- Missing or incorrect modifiers
- Diagnoses that don’t support the procedure billed
- Duplicate or unbundled charges
- Outdated codes after annual code updates
Why Practices Outsource Medical Coding
Coding needs trained people, and code sets and payer rules change every year. Outsourcing gives you that expertise without hiring and managing a team. Our coding connects directly to medical billing and denial management, so errors get fixed at the source.
- No need to recruit, train and manage in-house coders
- Cover for vacancies, leave or sudden volume spikes
- Fewer denials caused by coding errors
- Less uncoded backlog, so charges reach billing sooner
- Coding, billing and denials handled by one team
- Reports that show coding accuracy and error trends
Specialties and Settings We Code
From ICD-10-CM for oncology to CPT for orthopedics to HCPCS Level II for supplies, we match the coding to your caseload.
Looking for the full list? See the specialties we support.
Medical Coding FAQs
Straight answers to the questions practices ask us most.
ICD-10-CM codes describe the patient’s diagnosis. CPT codes describe the procedures and services a provider performed. HCPCS Level II codes cover supplies, equipment and some services that CPT does not. A claim usually needs all of them to line up.
It depends on your specialty, volume and whether coding is combined with billing. Request pricing or use the form above and we will send a quote.
Yes. We support professional fee, outpatient and E/M, inpatient and facility coding. Tell us your setting at intake and we will set up the right workflow.
Yes. HCC coding captures the chronic and complex conditions documented in a patient’s record for risk adjustment, and it depends on thorough, specific documentation.
Yes. A coding audit compares a sample of your codes against the medical record, flags upcoding, undercoding and missing documentation, and recommends fixes. See our medical audit service.
We follow HIPAA privacy and security requirements when handling protected health information. Ask us about the specific safeguards that apply to your account and we will walk you through them.
Yes. Coding feeds directly into claims, so many clients use us for medical billing and denial management as well.
Yes. We can provide short-term coding help for vacancies, leave or a backlog, or take on coding on an ongoing basis.
Explore Related Services
Medical Billing
Claims, payment posting and follow-up handled by the same team.
Denial Management
Fix denials, appeal what is owed and prevent repeats.
Medical Audit
Chart and claim reviews that find errors and missed revenue.
Revenue Cycle Management
End-to-end revenue cycle support for your practice.